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I wash my face with cleanser (Eucerin Dermo Purifyer as recommended by my derm) morning and night but if I work out at the gym I wash it again in the shower. So that makes three times. I think twice is recommended though.

Twice is enough. But shower water can be hard on your face if you don't have a filter. If you notice that the water you use is drying out your skin or causing redness, you may want to invest in a water filter.

Current regimen: garlic supplements [as needed], Enzymedica gluten blocker [as needed], nicadan [not sure if it works yet]. I try to simplify as much as I can. Don't take more supplements than you need....try one at a time and be patient.

The supplements that really helped me when my acne was at its worst: inositol, DIM [not as frequently now!] digestive enzymes [don't need them every day anymore, only on cheat days], herpanacine & vitamin C with rose hips/ low acid [not every day], regular sun exposure for vitamin D3, superoxide dismutase (SOD) enzyme supplements. NOTE: I do not recommend DIM for long term use, and I do not recommend hormonal creams without doctor supervision.